Wilson, Ian Jermaine
Wilson, Ian Jermaine is an sole proprietor health care provider with primary practice located at 55 Spindrift Dr , Williamsville NY 14221-7891. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Wilson, Ian Jermaine can be contacted via phone (716) 631-2500.Contact Information
Primary practice address
55 Spindrift Dr
Williamsville NY 14221-7891
Phone: (716) 631-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 244637 | New York |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 244637 | New York |
Profile Details
| NPI number | 1871793570 |
|---|---|
| LBN Legal business name | Wilson, Ian Jermaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2007 |
| Last updated | Jan 20th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871793570 | NPPES |
| New York | MEDICAID | 02933948 |
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